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Will my ankle ever be the same after a break and surgery?

Author

Noah Mitchell

Published Jan 22, 2026

Again, everyone is different and every injury is different. Some people are able to run much sooner after breaking their ankle. Unfortunately, some people continue to be limited by pain, loss of ROM or limited strength long after their injury and may take longer to return to running.

Will my broken ankle ever be the same?

If it's a low-to-medium grade ligament injury or a stable bone fracture, then it's highly likely that the ankle will be similar to before. With more severe ligaments and unstable fractures, there is always some difference in flexibility and appearance.

Will my ankle look the same after surgery?

You should be aware that the foot and ankle will look nothing like it will when it is finally healed months down the line.

Will I ever walk normal after ankle surgery?

While the bones are healing, the ankle is protected with a cast and/or a walking boot. Patients are often nonweightbearing for several weeks, and then they spend an additional 4-6 weeks walking in the boot. Most patients will require physical therapy for range of motion, strength, and endurance.

What are the long term effects of a broken ankle?

Long term effects of ankle fractures have been reported to include physical, psychological, and social consequences [9]. It has been reported that physical impairments following ankle fractures may include pain, functional impairment and the development of post-trauma arthritis [16].

27 related questions found

Can a broken ankle cause problems later in life?

Complications of a broken ankle are uncommon but may include: Arthritis. Fractures that extend into the joint can cause arthritis years later. If your ankle starts to hurt long after a break, see your doctor for an evaluation.

How long does it take to fully recover from an ankle fracture?

Ankle fractures can take a long time to heal. Recovery depends on how much damage was done when you fractured your ankle. Most people can put weight on their ankle within 16 weeks after surgery. But it can take as long as two years for an ankle fracture to heal completely.

What happens if you walk too soon after ankle surgery?

Putting any weight on an operated foot or ankle can damage the repair that's been done. Bones need time to heal. Plates or screws that may have been added during surgery need the bones to heal around them. Adding weight too soon can interrupt this important internal healing process.

Can you run with plates and screws in ankle?

In general, you can attempt to start running about three to four months after your injury. By this time, the bones in your ankle should be well healed and your ROM and strength should be close to normal. You can progress your running mileage as long as your pain is minimal and your ROM and strength remain excellent.

How do you strengthen a broken ankle?

Ankle plantar flexion

  1. Sit with your affected leg straight and supported on the floor. Your other leg should be bent, with that foot flat on the floor.
  2. Keeping your affected leg straight, gently flex your foot downward so your toes are pointed away from your body. ...
  3. Repeat 8 to 12 times.

Can you break the same ankle twice?

There is an old adage that states you can't break the same bone twice because the bone grows back stronger than before. Unfortunately, this is a myth. There is still a chance you can fracture it again in the same place in the future.

Do ankles feel better after surgery?

Pain Management

Expect to be in some degree of pain following surgery. The bones in your foot and/or ankle are being manipulated in the operating room to correct the problem, which will cause pain. In general, the pain subsides after a few days to a week after surgery, depending on the type of surgery.

Why does my ankle still hurt a year after surgery?

According to our Tarrant County podiatrist, chronic post-surgical pain after foot surgery can occur for a variety of reasons, including: Tissue damage and inflammation. Damage to a nerve or nerves. Formation of scar tissue.

Can screws in ankle cause pain?

Most people do not have problems with the plate and screws. In rare cases, the plate and screws can cause some pain or irritation. When this happens, the hardware may be removed after the fracture is healed, about a year from the original surgery.

How do you stay in shape with a broken ankle?

To maintain your physical fitness during the healing process, try out these exercises, all of which can be performed while on crutches.

  1. Arm Exercises. ...
  2. Light Walking. ...
  3. Ab and Core Exercises. ...
  4. Cardio Exercises. ...
  5. Leg Exercises (With Caution) ...
  6. Aquatic Exercises. ...
  7. Full-Body Chair Exercises. ...
  8. Stay in Shape Doing Exercises on Crutches.

Is it OK to wiggle toes after ankle surgery?

After 72 hours

Unless you have had toe surgery we suggest that you wiggle your toes for 15 seconds and rest for 15 seconds.

Do metal plates hurt in the cold?

When we get cold, our body generates heat to try to stay warm. Our body is 60% water and water is hard to heat. Metal is dense and can hold heat. If metal in the body is covered by skin, like a plate in the ankle, thin skin is against thick metal competing for the heat.

How long do titanium screws last?

Benefits of Medical Titanium

Titanium is also incredibly durable and long-lasting. When titanium cages, rods, plates and pins are inserted into the body, they can last for upwards of 20 years.

Can screws in ankle come loose?

Hardware Loosening: Metal implants can sometimes come loose from the bone and drift. Over time, this can lead to inflammatory reactions, protrusion of the implant through the skin, and painful hypersensitivity to cold temperatures.

How long until I can drive after ankle surgery?

Conclusion: We conclude that patients with isolated, surgically treated right ankle fractures can successfully pass a standard driving test at 6 weeks post-surgery, even before weight bearing has been initiated.

How long does it take to go from non weight bearing to full weight bearing?

According to a survey of the members of the American Orthopedic Foot and Ankle Surgeons, the average time period for non-weight bearing is five to eight weeks depending on the patient and the injury.

How long does it take to get full range of motion after ankle surgery?

From Weeks 13–16, you should gain a full range of motion in non-fused joints, and you'll be approaching a restoration of near normal strength.

Why is my ankle stiff after fracture?

There are two reasons why stiffness seems to last a long time after casting a joint for a fracture. First there's the joint itself. After injury, the repair processes can be damaged and slow to return to normal. At the same time, animal studies have shown us that muscles shorten up when joints are immobilized.

Can you get disability for a broken ankle?

You must have a condition that lasts at least a year to qualify. However, bone fractures that improperly set or heal may take longer than a year to recover, if at all. If you have sustained a bone fracture and are unable to work, you may be eligible to receive disability benefits.

Why is my ankle still swollen after 2 years?

"An ankle sprain that lingers beyond 3 months is often an injury to a bone, tendon or ligament that is unlikely to heal without intervention," he says. "And the longer an ankle injury persists without proper treatment, the greater the likelihood that permanent disability will result."